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cardiology diagnosis differential bradycardia ecg ekg electrocardiogram causes classification ppm summary tachycardia treatment atrial atrioventricular avblock bradi bradyarrhythmia cad comparison
Pacemaker Placement Indications Class I: • Third degree block • Advanced 2nd degree block • Symptomatic Mobitz
Pacemaker Placement ... Indications Class ... • First degree AV ... Reversible causes of AV ... PPM #cardiology #management
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
w/ AV Block, Atrial ... Tachy w/ AV Block ... Block, Mobitz I ... AV Block, Mobitz ... II AV Block Wide
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
abberancy - N B Afib ... 3, etc.) 2º - Mobitz ... II / Mobitz - , ... block (lower AV ... pacemaker -
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary First Degree AV Block • The P wave is
Mobitz I / Wenckebach ... aka Mobitz II) ... complex maybe narrow indicating ... by a junctional pacemaker ... an infra-Hisian pacemaker
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Differential Diagnosis Algorithm ... • Anemia • Medications ... • AFib/AFlutter ... 2nd/3rd degree AV ... Block • Pacemaker
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Treatment 2nd Degree, Mobitz ... Brady Management ... . 2nd Degree, Mobitz ... • Block in AV ... beyond AV node)
Pacemaker Indications Class I • Symptomatic sinus node dysfunction • 3° AV or type 2 2° AV
Pacemaker Indications ... block (regardless ... • Permanent a-fib ... block • Syncope ... #cardiology #management
Atrial Fibrillation RVR - Medications Diltiazem • Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... combined with other AV ... #Fibrillation #AFib ... #RVR #Medications ... #management #treatment
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Hyperkalemia + AV ... Renal failure • AV ... Medications: ... • Sotalol • Propofol ... Failure of permanent pacemaker
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
WPW) - Avoid AV ... diltiazem or B-blockers ... narrow-complex irregular protocol ... Tachycardia #Treatment #management ... #cardiology #algorithm
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